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. • �,:.,. <br /> �� • � APPLICATION FOR RIGHT•OF•WAY USE PERMIT 1�.3 5 Z . "' <br /> ' ` everrlt <br /> " . � �;: <br /> • r '.. <br /> CIT1' ENGINEERS <br /> EVERETT,WASHINGTON PERMlTNO.�B �2u��✓ <br /> 'lhe Undenipned <br /> Herebyappliestorpertnissionto D�W �S � _� — �kq — �Q,,�o(s'capj.•t4 <br /> At the followtnp location 3�j �9 �Q lr �r <br /> SKETCH <br /> (Work to be done) <br /> 7 � <br /> v . <br /> C "�2�", � u�`- <br /> �.` �„LS� <br /> I�' �� �,�,,~�, <br /> �� � <br /> �/ 1 <br /> � . , ti�l� <br /> � ��I <br /> DRIVEW4Y SEC7ioN The unJersigned owner hereby agrees lo hold and <br /> No Sc4LE save harmless the City of Eve�ett Irom any and all <br /> � - --�- � claims(or damages that may arise because oi Installe• <br /> �i uP tion and maintenance oi the improvement heieto <br /> _. _ � <br /> �30'�_ T I 30' I applied for and furiher agrees to remove same upon <br /> ---- �"-------- �---�t' -,�1 notic rom the City Fnd to replace public property <br /> damape [hereby. / <br /> �\�:.l�i� �-:` �r c L_.✓ <br /> Sig1nature of Applicant -- <br /> l �: i S��Y. .S(,� EV-F�'_+-"�T °1 k'-o . <br /> COPY �.F TH IS .1PpLICATION i O Address — <br /> R� POSi�ED O� .IOSSITE. '_�C.�:_>CJ!/�� <br /> CALL EtiGI�JEERING DEPT. 259-8811 Tclephone umber <br /> v/.3 .: _2.�_-_ <br /> f?•7 I10liRS FiEFORE CONSTRUCTION Date <br /> ----- _-- ----------- - <br /> CHECI: LIST Fee — <br /> lNamr Valve <br /> Draina9e Dept. AppfoValS <br /> Curb&GuUcr Enginccrs <br /> $i:)cwalk ' —_'_______" <br /> -- ---��---�---- ' Wa�cr <br /> Stit�et --- _. <br /> Inspr.ctor'sSiynaturc � � ��mmunica[ions _ <br /> Traffic � '7-7 <br /> ----1-� --L-_ - <br /> Planninp <br /> bate — <br /> -«�,:�„k, ------ 1135? _ <br /> Approved by <br /> cusroM�w -- <br />